International Journal of Community Based Nursing and Midwifery最新文献

{"title":"Midwives' Perception Regarding Conditions Influencing the Implementation of the Natural Childbirth Promotion Program in Iran: A Qualitative Study.","authors":"Vajihe Armanmehr,&nbsp;Elahe Banafshe,&nbsp;Haydeh Hashemizadeh,&nbsp;Ali Alami,&nbsp;Abdoljavad Khajavi","doi":"10.30476/IJCBNM.2023.97165.2169","DOIUrl":"https://doi.org/10.30476/IJCBNM.2023.97165.2169","url":null,"abstract":"<p><strong>Background: </strong>In Iran, the Natural Childbirth Promotion Program (NCPP) has been implemented as a component of the Health Transformation Plan (HTP) since 2014 and as an attempt to encourage natural childbirth practices and reduce cesarean section rates. The purpose of this qualitative study was to explore the perceptions of midwives about conditions influencing the implementation of NCPP.</p><p><strong>Methods: </strong>In this qualitative study, data were collected through 21 in-depth semi-structured individual interviews with expert midwives who were selected using purposive sampling mainly from one medical university in Eastern Iran from October 2019 to February 2020. Based on the framework method as a thematic analysis approach, the data were analyzed manually. To enhance the rigor of the study, we followed Lincoln and Guba's criteria.</p><p><strong>Results: </strong>Data analysis yielded 546 open codes. After the codes were reviewed and similar codes were removed, there remained 195 codes. Further analysis led to extraction of 81 sub-sub themes, 19 sub-themes, and eight main themes. These themes included: Responsive staff; Characteristics of the parturient; Recognition of midwifery role; Teamwork; The birthing environment; Effective management; Institutional and social context; and Social education.</p><p><strong>Conclusion: </strong>Based on the perceptions of the studied midwives, the success of the NCPP is guaranteed by a set of conditions identified in this study. In practice, these conditions are complementary and interrelated, and they cover a wide range of staff and parturient characteristics to the social context. It seems that effective implementation of the NCPP also calls for the accountability of all stakeholders, from policymakers to maternity care providers.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"135-148"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/b4/IJCBNM-11-135.PMC10126447.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9428635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Spiritual Self-care Intervention with a Blended Learning Approach on Anxiety in Women with Preterm Labor: A Randomized Controlled Trial.","authors":"Raziyeh Maasoumi,&nbsp;Farzaneh Dastaran,&nbsp;Fatemeh Faghihiniya,&nbsp;Shima Haghani,&nbsp;Shadi Sabetghadam","doi":"10.30476/IJCBNM.2023.96119.2106","DOIUrl":"10.30476/IJCBNM.2023.96119.2106","url":null,"abstract":"<p><strong>Background: </strong>One way of dealing with pregnancy-related anxiety is through women's beliefs. This study aimed to assess the effect of spiritual self-care blended learning on anxiety in women with preterm labor.</p><p><strong>Methods: </strong>A non-blinded and parallel randomized clinical trial was conducted in Kashan, Iran, from April to November 2018. In this study, 70 pregnant women with preterm labor were randomized to intervention and control groups (35 each) by flipping a coin. For the intervention group, spiritual self-care training was delivered through two face-to-face sessions and three offline sessions. The control group received routine mental healthcare. The data were collected using socio-demographic information and the Persian Short Form of the Pregnancy-Related Anxiety (PRA) Questionnaires. Participants filled out the questionnaires at baseline, immediately after the intervention, and four weeks after it. Chi-square, Fisher's exact test, independent t-tests, and repeated measures ANOVA were used to analyze the data. SPSS v.22 was used, with a significance level of P<0.05.</p><p><strong>Results: </strong>At baseline, the mean PRA scores in the intervention and control groups were 52.25±29.23 and 49.68±21.66, respectively (P=0.67). There were significant differences immediately after the intervention (28.02±12.13 and 51.42±20.99 in the intervention and control groups, respectively) (P<0.001), and four weeks post-intervention (25.45±10.44 and 52.17±21.13 in the intervention and control groups, respectively) (P<0.001); PRA was lower in the intervention group.</p><p><strong>Conclusion: </strong>Our results revealed the positive effect of spiritual self-care intervention on anxiety in women with preterm labor, so this intervention could be integrated into prenatal care.<b>Trial Registration Number:</b> IRCT20160808029255N.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 2","pages":"85-95"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/ec/IJCBNM-11-85.PMC10126446.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9428638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Palm Pollen Extract on Sexual Disorders in Postmenopausal Women: A Randomized Clinical Trial.","authors":"Marzeyeh Loripoor,&nbsp;Fatemeh Esmaeili,&nbsp;Reza Vazirinejad,&nbsp;Sasan Dan","doi":"10.30476/IJCBNM.2022.95809.2086","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.95809.2086","url":null,"abstract":"<p><strong>Background: </strong>Considering the numerous nutritional and estrogenic compounds of palm pollen and their effect on sexual function, this study was performed to investigate the effect of palm pollen extract on sexual disorders in postmenopausal women.</p><p><strong>Methods: </strong>In this three-blind clinical trial, 110 postmenopausal women from December 2019 to December 2020 from Rafsanjan comprehensive health service centers were randomly assigned to two groups, using a lottery method. The intervention group received 300 mg capsule of palm pollen extract, and the control group received placebo for 4 weeks. Sexual disorders were assessed with a 6-item female sexual function index before, at the end of the intervention, and 4 weeks after the end of the intervention. Independent t-test, Chi-square and repeated measures ANOVA were used to analyze the data through SPSS software version 21. The statistically significant level was considered P value less than 0.05.</p><p><strong>Results: </strong>The mean scores of sexual disorders before the intervention in the intervention and control groups were 15.36±5.01 and 14.13±4.67 (P=0.68); at the end of the intervention, they were 15.18±4.50 and 14.22±3.91 (P=0.43) and 4 weeks after the end of the intervention we obtained 15.7±4.77 and 14.44±3.78, respectively (P=0.90).</p><p><strong>Conclusions: </strong>According to the results, daily consumption of 300 mg of date pollen extract had no effect on improving sexual disorders in postmenopausal women. Further studies in this field are suggested.<b>Trial Registration Number:</b> IRCT20160308026971N1.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"14-22"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/fa/IJCBNM-11-14.PMC9839974.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping Experiences of Nigerian Women during Pregnancy and Labour: A Qualitative Study.","authors":"Deborah Tolulope Esan,&nbsp;Janet Efemena Adugbo,&nbsp;Israel Opeyemi Fawole,&nbsp;Oluwadamilare Akingbade","doi":"10.30476/IJCBNM.2022.96739.2147","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.96739.2147","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy and labour are defining moments in the lives of women. While these are joyful moments for many, some physical and psychological issues have been reported during labour and pregnancy. This study was conducted to explore the coping experiences of Nigerian women during pregnancy and labour.</p><p><strong>Methods: </strong>This is an exploratory qualitative study using the content analysis. The study was conducted from November 2021 to January 2022 in Ekiti State and Federal Capital Territory, Nigeria. In-depth interviews were conducted with 30 women selected using the purposive sampling technique. Data collection was stopped when we reached data saturation. Data were analyzed through content analysis using the NVIVO software version 12.</p><p><strong>Results: </strong>Two themes emerged from the study including coping strategies during pregnancy and trying to endure labour pain. The theme, coping strategies utilized during pregnancy, included obtaining the relatives' experiences, seeking information, religious practices, and engaging in exercise. The theme, trying to endure labour pain, consisted of exercising for pain relief, relying on God, Positive imagination, giving psychological support, and behaving according to the accepted cultural beliefs.</p><p><strong>Conclusion: </strong>Findings suggested that women utilized many non-pharmacological methods for coping. Interventions to support women during pregnancy and labour should consider these strategies during planning and implementation.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"23-33"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/3b/IJCBNM-11-23.PMC9839976.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Providers' Views of Information, Support, and Services Offered to Women in the Postnatal Follow-up Care Period in Oman: A Qualitative Study.","authors":"Amal Al Hadi,&nbsp;Jennifer Dawson,&nbsp;Michelle Paliwoda,&nbsp;Karen Walker,&nbsp;Karen New","doi":"10.30476/IJCBNM.2022.96663.2140","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.96663.2140","url":null,"abstract":"<p><strong>Background: </strong>Postnatal care is a component of the maternity care continuum, which is often under-valued and under-offered. The aim of this study was to explore healthcare providers' (HCPs) views about postnatal follow-up care (PNFC) offered to women in Oman.</p><p><strong>Methods: </strong>This qualitative study was performed from May 2021 to January 2022; 29 individual participated in semi-structured telephone interviews with staff nurses (N=20), nurse/midwives (N=5), and doctors (N=4) from Khoula and Ibra hospitals and Al Amerat, Muttrah and Al Qabil health centers in Oman. Conventional content analysis was guided by Erlingsson and Brysiewicz.</p><p><strong>Results: </strong>Seventeen sub-categories and four categories emerged from the data; they included communication and timing of PNFC, provision of PNFC with various components, challenges and needs for providing PNFC, and the impact of COVID-19 on PNFC.</p><p><strong>Conclusion: </strong>Providing postnatal follow-up care in Oman is challenging for HCPs due to lack of clinics dedicated to postnatal care, no scheduled appointment times for women, very limited guidance within the National Maternity Care guideline, and some HCPs (i.e., nurses) with no formal education on the components of postnatal care. These hinder the ability to provide information, education, support, and services to women.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"2-13"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/22/IJCBNM-11-2.PMC9839975.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High Risk-pregnant Women's Experiences of Risk Management: A Qualitative Study.","authors":"Talat Khadivzadeh,&nbsp;Zahra Shojaeian,&nbsp;Ali Sahebi","doi":"10.30476/IJCBNM.2022.96781.2148","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.96781.2148","url":null,"abstract":"<p><strong>Background: </strong>Maternal and fetal morbidity and mortality depend on identifying of pregnancy risks and risk management. There is a dearth of information about the experiences of high-risk pregnant mothers in self-mitigation of the risk in the socio-cultural setting of Iran. This research was conducted to explore the risk management experiences of high-risk pregnant mothers.</p><p><strong>Methods: </strong>This Qualitative study was conducted in educational hospitals in Mashhad, Iran, from July 2018 to December 2020. The purposive sampling method was used to recruit the participants based on medical or obstetric high-risk conditions in pregnancy. Qualitative data were obtained from in-depth and semi-structured 29 interviews. Mothers' experiences of pregnancy in a risky condition were asked, and the interview continued until data saturation. Data were analyzed using the MAXQDA 10 software and the Elo and Kyngäs method.</p><p><strong>Results: </strong>Maternal experiences for risk management in pregnancy were formed by nine sub-categories and three categories: the excitement of emotion including: \"feeling worry and despair\", \"gladness in the shadow of hope and optimism\", \"momentary shocking and excitement\", and \"inactivity and helplessness\"; self-contemplation including: \"active analysis of the ways of moderating the risk\", \"cognitive denial\", and \"ignoring the risk\"; and witnessed action including: \"problem-focused and rational actions\", and \"avoidance and inefficient engagements\".</p><p><strong>Conclusion: </strong>Risk management experiences of pregnant women with high-risk pregnancies include a wide range of positive and negative feelings, effective and ineffective thoughts, and behaviors. Mutual collaboration between mothers and midwives/obstetricians by providing high-quality risk management counseling can lead to choosing effective risk management strategies.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"57-66"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/c7/IJCBNM-11-57.PMC9839972.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Health Promotion Interventions in Active Aging in the Elderly: A Randomized Controlled Trial.","authors":"Seyedeh Reyhane Davodi, Hamidreza Zendehtalab, Masoud Zare, Hamidreza Behnam Vashani","doi":"10.30476/IJCBNM.2022.96246.2117","DOIUrl":"10.30476/IJCBNM.2022.96246.2117","url":null,"abstract":"<p><strong>Background: </strong>Active aging has been the paradigm of the old-age lifestyle. Integrated aging care interventions in health centers primarily focus on diseases such as diabetes, hypertension, depression, and cardiovascular diseases, and there is no program or training regarding active aging. This study was carried out from September to December 2021 to determine the effectiveness of an intervention program to promote active aging in the elderly referred to Mashhad health centers.</p><p><strong>Methods: </strong>This randomized controlled clinical trial was conducted on 60 elderly individuals without disabling diseases and cognitive impairment who presented to the Daneshamooz health center in Mashhad in 2021. Through a simple block allocation scheme, those who met the inclusion criteria were randomly divided into the intervention and control groups. The intervention group received the health promotion program during 6 sessions (one session per week) about nutrition, physical activity, responsibility, stress management, communications, and spiritual aspects. The data were gathered using the active aging questionnaire and analyzed using the SPSS software version 25; independent and paired t-test, Wilcoxon, and Mann-Whitney U tests were utilized. P value< 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The results of this study demonstrated that after the intervention, the total active aging score in the intervention group increased significantly (68.5±3 to 85±8.25) (P<0.001) and there was a significant difference between the control and intervention groups (68±3.25 to 85±8.25) (P<0.001).</p><p><strong>Conclusion: </strong>According to the results, training based on a health-enhancement approach can effectively promote active aging in the elderly. Therefore, more attention should be paid to strategic planning for active aging in health centers.<b>Trial Registration Number:</b> IRCT20210308050639N.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"34-43"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/e9/IJCBNM-11-34.PMC9839973.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9426744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's Concerns and Experiences of Fetal Anomaly Screening Process: A Qualitative Study.","authors":"Zohreh Khakbazan,&nbsp;Farnaz Farnam,&nbsp;Parsa Abdollahi,&nbsp;Mitra Arjmandifar","doi":"10.30476/IJCBNM.2022.96284.2116","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.96284.2116","url":null,"abstract":"<p><strong>Background: </strong>Advanced technologies in antenatal screening provide complex and accurate information about the fetus that allows for early intervention, but it increases pregnant women's concerns about fetal health. This study aimed to investigate the concerns and experiences of Iranian pregnant women in the fetal anomaly screening process.</p><p><strong>Methods: </strong>This qualitative study was performed from September 2018 to June 2019 in Tehran, Iran. Twenty pregnant women who referred to prenatal care clinics, four specialists, and two midwives took part in this study. The sampling was done purposefully until data saturation. Qualitative interviews were analyzed using the content analysis approach and Graneheim and Lundman's method. The MAXQDA 10 was used for data management.</p><p><strong>Results: </strong>The pregnant women who participated in the study were 22-40 years old. The following 4 themes were obtained from the analysis: the challenge of deciding to perform the tests, bitter pregnancy experience, challenges of facing an abortion, and unmet needs of pregnant women by the health system.</p><p><strong>Conclusion: </strong>The findings indicate that pregnant women need real information and support. Designing and implementing interventions that reduce the psychological impact of performing fetal anomaly screening tests can highlight the potential benefits for pregnant women's health.</p>","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"44-56"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/2a/IJCBNM-11-44.PMC9839969.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9426740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Community-based Health Services in Sexual and Reproductive Needs of Transgender People.","authors":"Farnaz Farnam, Azar Nematollahi","doi":"10.30476/IJCBNM.2022.97523.2188","DOIUrl":"10.30476/IJCBNM.2022.97523.2188","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"69-70"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/39/IJCBNM-11-69.PMC9839970.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Psychodrama in Reducing Cesarean Rates and Fear of Childbirth.","authors":"Fadime Bayri Bingol","doi":"10.30476/IJCBNM.2022.97541.2190","DOIUrl":"https://doi.org/10.30476/IJCBNM.2022.97541.2190","url":null,"abstract":"","PeriodicalId":52139,"journal":{"name":"International Journal of Community Based Nursing and Midwifery","volume":"11 1","pages":"67-68"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8e/cc/IJCBNM-11-67.PMC9839971.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9426746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}